Rallying the night-before or day-of: It is very common for your pet to decide to have a “good day” right before the appointment.  This can create a great deal of confusion for the pet family.  Usually it is a minor improvement for example, a dog who has not eaten in 2 days eats a small bite of chicken or a dog who can barely walk takes 10 steps before falling down as opposed to 2 steps.  Usually this “rally” does not equate to a good quality of life, but it can cause families to have doubt.  You may need to circle back to the quality of life scale to help ease your peace of mind.  Dr. Atkins is always thankful when a dog or cat has a “good day” as their last memory.